Medical Billing Forum

Billing => Billing => : EC April 19, 2010, 12:47:15 PM

: KX modifier for PT
: EC April 19, 2010, 12:47:15 PM

Hi Michelle
I am doing billing for a private PT. How do I bill with KX modifier in CMS 1500 form? Could you please give me some examples?

: Re: KX modifier for PT
: Pay_My_Claims April 19, 2010, 12:50:51 PM

thats new for me, I only thought the KX modifier was used in DME

: Re: KX modifier for PT
: blhoffman April 19, 2010, 02:06:58 PM

The last article is about 2010 changes enacted after the Obama healthcare. Hope these links help.

http://www.cms.gov/MLNMattersArticles/downloads/SE0637.pdf


http://www.ipta.org/news/37744/Reimbursement-CMS-Issues-Guidance-on-the-Medicare-Physician-Fee-Schedu.htm

: Re: KX modifier for PT
: Pay_My_Claims April 19, 2010, 02:29:54 PM

the first article instructions termed in 2007, its interesting since I only associated the KX with DME. It appears to be relative to the cap on PT ...

: Re: KX modifier for PT
: EC April 19, 2010, 03:29:15 PM

Thank You blhoffman
this info would help.  PS. is there a code that I have to include in the CMS 1500 form to indicate I am submitting the bill with KX modifier? what are the codes and which line should I put it under?? 24D???

Thank You

: Re: KX modifier for PT
: Michele April 19, 2010, 04:21:23 PM

Yes 24D is for the modifiers, including KX.

: Re: KX modifier for PT
: blhoffman April 19, 2010, 08:06:28 PM

Yeah, 2007 was the newest I could locate on the subject that had more detail. It was more a point of reference.  :)

: Re: KX modifier for PT
: bumbleb April 19, 2010, 08:17:47 PM

You put GP as the first modifer (as you normally do), and KX as modifier 2.  HTH

: Re: KX modifier for PT
: Pay_My_Claims April 19, 2010, 08:20:09 PM

more mods, more mods...LOL

Well thx for the other link BLH I kept that for future reference!!

: Re: KX modifier for PT
: EC April 20, 2010, 12:43:23 PM

Thanks for all of your inputs ^^